CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $73
Cash Discount Price: $62
vs. Medicare Baseline: 2.63x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at University of Iowa Health Care Medical Center Down is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 2.63x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)

Cash / Self-Pay: $62 (224%)

Insurance Median: $73 (263%)

Cash: $62 (224% of Medicare)

Ins. Median: $73 (263% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 263% of the Medicare baseline (a markup of 163%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$14 - $225	51%
Immergrun	$20 - $56	72%
Wellpoint (Amerigroup)	$23 - $27	83%
Iowa Total Care	$24 - $27	87%
Molina Healthcare	$24 - $26	87%
Blue Cross Blue Shield	$26 - $107	94%
Healthpartners	$26 - $190	94%
Medical Associates	$26 - $149	94%
UnitedHealthcare	$26 - $169	94%
Quad City Community Healthcare	$40 - $167	144%
Midlands Choice	$43 - $145	155%
Oscar Health	$51 - $140	184%
Great River Health Systems	$57 - $156	206%
Aplos Health Plan	$64 - $178	231%
Sedgwick	$65 - $178	234%
Global Excel	$69 - $190	249%
Sanford Health Plan	$69 - $190	249%
Sisco	$71 - $196	256%
Employee Benefit Systems	$73 - $201	263%
Healthsmart	$73 - $201	263%
Hfn	$75 - $205	271%
Multiplan	$75 - $205	271%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Iowa Health Care Medical Center Down is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.